Monthly Archives: January 2015

Healthcare – Real Pay Shift To Quality Outcomes Coming

By 2018, less than three years away from now, 50% of Medicare reimbursements to healthcare providers will for the first time be based on “quality of outcomes,” not the number of procedures performed.

Patients As Partners…Finally?

“Virtual visits and other remote care services are poised to take off as CMS has announced plans for reimbursement. With EHRs in place and incentives to engage their patient population, providers are working to integrate patient-generated data and to think of patients as partners. In early 2015 large consumer device companies will commercially launch sensor-laden wearable devices, which they hope take the multi-year wearable trend mainstream — finally.

Will 2015 be another multi-billion dollar year for digital health investments? Can it top 2014’s record number of acquisitions? Will more of the companies developing these low-cost interventions pursue the expensive, but often necessary, rigorous efficacy studies? What’s likely to change in digital health?” –;F:QS!10100&ShowKey=23229 and

Moving From Mandate To Reality: A Roadmap For Patient And Family Engagement

“The Roadmap lays out eight specific strategies for change, which together constitute a comprehensive approach for how patient and family engagement can drive health system transformation. For each change strategy, the Roadmap provides a brief description of what it entails and numerous specific tactics that can be executed to advance the strategy. There are also milestones that can help in assessing implementation progress and results. The tactics are drawn from existing research evidence and promising directions where sufficient evidence may still be lacking.

Many of the strategies and tactics can be implemented easily and right away. For each strategy, the Roadmap also identifies existing resources that are freely available from credible organizations.” –

Essential Ingredients for Design Culture Transformation and Momentum – “It turns out that raising awareness for design thinking across (an organization) has a lot to do with leadership, community building, and thinking like a film maker.”

Workplace Wellness…Or Else

“25 percent of large employers that provide incentives for wellness use some sort of financial penalty against their workers if they don’t participate in programs that are intended to improve their health.

Many large employers are self-insured, so such penalties accrue directly to their bottom line if enforced. Most wellness program enrollees have lower medical costs of about $40 a year…But the penalties are often 10 times more than that…

However, there is some question as to whether such penalties shift wellness programs from voluntary to compulsory–and therefore make them illegal. The Equal Employment Opportunity Commission recently sued a Wisconsin company that refused to pay the premiums of a worker that declined to undergo screenings.

And the consensus among many workplace wellness designers is that the best way for such a program to succeed is to tailor it specifically to a company’s workplace culture.”

Glass Half Full (not empty) Better For Heart Health – Individuals with the highest levels of optimism have twice the odds of being in ideal cardiovascular health compared to their more pessimistic counterparts. This association remains significant, even after adjusting for socio-demographic characteristics and poor mental health.

The Future of Technology – A conversation about the future of technology with Arati Prabhakar, head of DARPA, the United States Defense Advanced Research Projects Agency.